The Effectiveness of Methadone Maintenance Treatment: Patients, Programs, Services, and Outcome / Edition 1

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The work constitutes the most comprehensive evaluation of methadone maintenance treatment in the United States to date. Based upon three years of data collection at drug abuse treatment programs in New York City, Philadelphia and
Baltimore, the study contains findings for 617 male intra-
venous addicts, interviewed during and after six methadone programs. The major findings of the project concern the effectiveness of methadone maintenance in reducing drug use,
crime and other deviant behavior, the effectiveness of cer-
tain programs as compared to others, the pressing need to improve the quality of care at mostprograms and the estab-
lishment of successful procedures and methodology for evalu-
ating drug abuse treatment programs.
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Editorial Reviews

Summarizes, analyzes, and draws conclusions from data collected at methadone maintenance programs in New York City, Philadelphia, and Baltimore, which included 89 treatment domain variables and face-to- face interviews with over 600 patients. Finds that the successful outcomes correlated more with treatment factors than with baseline patient characteristics. Annotation c. Book News, Inc., Portland, OR (
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Product Details

  • ISBN-13: 9780387974231
  • Publisher: Springer-Verlag New York, LLC
  • Publication date: 1/28/1991
  • Edition description: New Edition
  • Edition number: 1
  • Pages: 297

Table of Contents

1 Status of Methadone Maintenance Treatment and Research in the United States.- Current Status of Methadone Maintenance Treatment.- The AIDS Era.- Prior Research and Treatment Evaluation of Methadone Maintenance.- The “Black Box” of Methadone Maintenance Treatment.- Four-Domain Schema for Treatment Evaluation.- Conclusion.- References.- 2 Research Plan and Data Collection Procedure at the Programs.- Objective of the Study.- Development of the Research Design.- Data Collection at the Programs.- Collecting Treatment Domain and Output Data in 1985.- Patient Interviews in 1985 and 1986.- Treatment Domain Data Collection in 1986.- Record Data Collection and Assessment in 1986.- Other Sources of Data.- Conclusion.- References.- 3 Pretreatment Characteristics of 617 Male Methadone Maintenance Patients.- Characteristics of the Addict Patients.- Commonality Among the Addict Patients.- Conclusion.- References.- 4 Candid Descriptions of the Six Programs.- On-Site Data Collection During 3 Years.- The Six Programs.- Discussion.- References.- 5 Treatment Domain.- Elements of the Treatment Domain.- Measurement of the Treatment Domain.- Additional Areas of Measurement.- Conclusion.- 6 Treatment and Rehabilitation Provided to Patients at the Six Programs in 1985 & 1986.- Measurement of Services Provided.- Daily Hours of Operation.- Methadone Dispensing Practices at the Six Programs.- Urinalysis.- Counseling Services.- Medical Services.- Year to Year Change in the Provision of Treatment Services.- Overview of Measurement and Assessment.- Conclusion.- 7 Reduction in Drug Abuse During Methadone Maintenance Treatment.- Issues and Plan of Analysis.- Pretreatment Drug Abuse Prevalence.- Reduction in Drug Abuse During Methadone Maintenance Treatment.- Differences Among the Six Programs in Reducing IV Drug Use.- Discussion.- Conclusion.- References.- 8 Follow-up Study of 105 Patients Who Left Treatment.- Rates of Retention in Treatment.- Follow-up of Patients Who Left Treatment.- Relapse to IV Drug Use After Treatment.- Discussion.- Conclusion.- References.- 9 Prevalence and Change in Psychiatric Symptomatology Among Methadone Maintenance Patients.- Lifetime Prevalence of Psychiatric Symptoms.- Recent Psychiatric Symptoms.- Psychiatric Severity Composite Scores by Time in Treatment.- Discussion.- References.- 10 Reduction of Crime Through Methadone Maintenance Treatment.- Measurement of Crime Among Heroin Addicts.- Pretreatment Criminality of Addict Patients.- Reduction in Crime During Methadone Maintenance Treatment.- Discussion.- References.- 11 Treatment Success: Association With Patient Baseline, Program Elements, and In-treatment Process.- Research Questions Addressed.- The Data.- Patient Groups.- Statistical Procedures.- Findings: Outcomes and Independent Variables.- Discussion and Conclusion.- References.- 12 Summation of Findings and Conclusion.- Obtaining Comprehensive Program Data.- Interviewing Patients at the Six Programs.- Candid Program Descriptions.- Treatment Domain.- Treatment Provided.- Determination of Effectiveness.- Reduction in Crime.- Multivariate Analysis.- Local Environment and City.- Conclusion.- References.- Appendix A: 89 Measures of the Treatment Domain.- Appendix C: Further Analysis with Regard to Chapter 11.
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